Individual
PAIGE E. INGLE PANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NBCC, MAC
Contact information
Practice address
120 19TH ST N STE 2045, BIRMINGHAM, AL 35203-3161
(555) 555-5555
Mailing address
120 19TH ST N STE 2045, BIRMINGHAM, AL 35203-3161
(555) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2021
Last updated
10/12/2021
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